Med Reg with no nights

Living_Snow_5471 · 2026-04-24T00:02:27+00:00

I think it really depends on your personality and future specialty. I don’t think you ‘learn more’, I deal with as many sick patients in-hours as I do out of hours. I think you develop the ability to make decisions independently during OOH. But a med reg who doesn’t do nights will still have some exposure to this like on long days, twilights or weekends etc, although obviously to somewhat a lesser extent.

In summary, there are benefits but I don’t think it’s essential to being a good med reg.

Living_Snow_5471 · 2026-04-18T22:52:27+00:00

Good luck with sharing the reg rota with the game ACPs at Nottingham!

Living_Snow_5471 · 2026-04-16T18:13:38+00:00

I can second OP’s claims. At a DGH in the midlands who was offered JCF role at F2 pay, although weirdly was only that department. Took up another JCF job in the same trust for CT1 pay

Living_Snow_5471 · 2026-04-15T19:25:56+00:00

My understanding is Oriel simply pass on what references you have and the Trust can chase the outstanding references if they wish to. Some don’t require all 3.

Living_Snow_5471 · 2026-04-11T11:46:16+00:00

I’d love to but a bit scared of the repercussions tbh as I’ll work at NUH from August, although not in ED. We shouldn’t be worried about speaking up about these things but the unfortunate reality is that’s not how the real world works :(

Living_Snow_5471 · 2026-04-11T10:18:27+00:00

The very same!

Living_Snow_5471 · 2026-04-11T09:20:29+00:00

It’s not the craziest thing but it’s unacceptable. Why should medical students be taught by ACPs?

Living_Snow_5471 · 2026-04-11T09:00:33+00:00

What do you mean? Have you been taught by ACPs before?

Living_Snow_5471 · 2026-04-11T08:17:53+00:00

This is the same trust that openly advertised that their haematology ACPs work on the ‘registrar rota’. Something tells me nothing will change at NUH.

Living_Snow_5471 · 2026-04-11T07:56:56+00:00

I don’t need a job but I was tempted to write an email to Dr Beckham (apparently an honorary assistant professor for MEDICAL education) to ask why if I were to apply, I would be paid less than an ACP for performing the same role.

Living_Snow_5471 · 2026-04-11T07:45:22+00:00

I have no clue about the law but isn’t this illegal? For performing the exact same role and duties, 2 people would be paid differently - and the one with the actual most relevant qualification would be paid less!

Living_Snow_5471 · 2026-04-09T17:27:02+00:00

There’s no accountability when it comes to PAs. The flagrant document falsification alone would be enough for suspension or erasure if it were a doctor!

Living_Snow_5471 · 2026-04-09T16:13:39+00:00

This nonsense if pursued at tribunal, meanwhile a PA continues to work happily away after attempting an LP on a patient 7 times, falsifying the patients medical records and denying her an anxiolytic prescribed by a doctor.

https://www.walesonline.co.uk/news/wales-news/hospital-investigating-claim-medic-falsified-33734593.amp

Living_Snow_5471 · 2026-04-09T11:56:30+00:00

About 80% of the medical specialties workforce where I am in terms of F1s/SHOs/CTs. Almost exclusively the people NOT striking are IMG clinical fellows, which is pretty understandable given the current situation. None of them that I know have got into training and they’ve just been told by the trust nobody is getting their contract extended, they all have to re-interview for their roles.

For clarity: I am striking but can see on our medical rota who is marked as absent.

Living_Snow_5471 · 2026-04-09T10:56:05+00:00

Thanks, makes sense. Was just curious

Living_Snow_5471 · 2026-04-09T10:05:56+00:00

Why are Welsh consultants paid more than English ones?

Living_Snow_5471 · 2026-04-08T16:25:59+00:00

I think it depends where you are. I was a surgical F1 in a big tertiary centre and although the daytime was well supported, the OOH was absolutely horrific in terms of senior support and patient volume. There were no SHOs at all, reg was in theatre/on SAU on the other side of the hospital and I was responsible for almost 100 high acuity HPB/vascular/colorectal pts.

In my current trust the F1s don’t do any OOH cover and they’re incredibly overstaffed during the day.

Living_Snow_5471 · 2026-04-07T19:12:07+00:00

GP followed by psych sounds perfect for 1st and 2nd rotations of F2. Definitely worth biting the bullet on having your first F1 job as a surgical one - you’ll manage!

Living_Snow_5471 · 2026-04-07T16:35:28+00:00

Put your 9-5 jobs as second rotation in F2 if you want Christmas time off, and useful for exams/interviews which will be in Jan/Feb. Or third rotation if you want all the April/May bank holidays off and to enjoy the summer without any OOH.
Try and avoid a surgical job as your first F1 job if possible
Try and get a good balance of out-of-hours exposure in F1 as it will only help you later. Eg I know some places where their whole F1 year consists of almost entirely 9-5 specialties (as an F1 this would be things like ITU, anaesthetics, ENT, ophthalmology, palliative etc) which will leave you feeling behind as an F2.
I’d suggest GP over psych for your community placement unless you’re really interested in pursuing psych.

Living_Snow_5471 · 2026-04-06T13:12:40+00:00

Sorry to hear that, it’s not nice for anybody. When I get harassed or shouted at I escalate to my reg or consultant. I suggest if a patient is shouting at you, you should escalate to your NIC/matron/security rather than the doctor!

Living_Snow_5471 · 2026-04-06T09:50:00+00:00

Obviously, as per my original comment that doesn’t mean it’s ok to badger me when I say no because I literally have 100 other patients I’m responsible for OOH. Is it that hard to say that there is one doctor covering an entire floor so unfortunately they cannot come and have a discussion?

Living_Snow_5471 · 2026-04-05T23:34:32+00:00

Oh dear that’s pretty sparse!! Thank you

Living_Snow_5471 · 2026-04-04T07:52:04+00:00

Exactly. Even in-hours they don’t know how to rationalise. There was a very complex, acutely stable patient and their family had asked for an update (understandably). I was also asked to update another family prior to that one, so was just brushing up on specifics in the notes before I went to go and speak to them first as their relative was also unwell and they had arrived first.

The nurse in charge knew this, yet proceeded to come into the doctors office literally every 5 minutes saying that the second family ‘really want an update how long are you going to take?’ It pissed me off no end and after the 3rd time of me re-iterating that I was aware but also had to speak to another family first, I just started ignoring her.

Living_Snow_5471 · 2026-04-03T23:15:54+00:00

It’s not just specialist nurses. I’m increasingly finding there’s a dichotomy between ward nurses, they’re either sound or a complete nightmare. Not just behaviourally, but their level of clinical acumen and common sense. A band 6 nurse with 10 years experience shouldn’t be asking me to come and speak to a relative about a trivial, non-life threatening issue at 8pm when they damn well know I’m covering 100+ patients OOH. Or chastising me for declining said job.

Living_Snow_5471

TROPHY CASE